CASE REPORT Penetrating Injury of the Orbit by a Needlefish

OBJECTIVE We present a very rare case of penetrating injury into the orbit by a needlefish. The patient underwent extirpation twice at another hospital. METHODS We performed foreign body removal from a right subbrow incision under general anesthesia. RESULTS The foreign body was successfully removed and the patient's diplopia recovered gradually after surgery. CONCLUSIONS Treatment was similar to that used for penetrating injury. As there is a risk of secondary infection, it is important to completely remove the fish body, followed by vigorous irrigation and debridement.